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* 1. Student's First Name

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* 2. Student's Last Name

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* 3. Grade level student will be entering in the 2019-2020 school year

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* 4. Has your child taken dance classes previously?

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* 5. How many years has child been taking dance classes?

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* 6. Where has your child been taking dance classes?

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* 7. Has your child taken music classes previously?

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* 8. How many years has your child taken music classes?

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* 9. Where has your child taken music classes?

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* 10. What instrument(s) does your child play?

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* 11. Does your child have internet access at home?

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* 12. What type of technology does your child have access to? Check all that apply.

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* 13. My child has the following experience in technology. Check all that apply.

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* 14. What are your child's special interests or hobbies?

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* 15. Parent or Guardian's Name

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* 16. Parent or Guardian's Contact Number

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* 17. Parent or Guardian's email address

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* 18. Alternate Parent or Gaurdian's Name

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* 19. Alternate Parent or Guardian's Contact Number

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* 20. Alternate Parent or Guardian's email address

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* 21. I give permission for my child to be photographed, filmed or interviewed by media representatives, and photos of my child can be used on the school's web pages or media outlets.

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* 22. The Academy must have proof that every parent/guardian has had a chance to read the Family & Student Handbook.  Please enter your first and last name to acknowledge that you have read the Family and Student Handbook and know the rules of the school.

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* 23. Thank you for completing the survey.  Please select one audition date and time for your child.  Please contact the school if you need attend another audition date and time.

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